Mubark Islam, Abouelela Amr, Hassan Mohammed, Genena Ahmed, Ashwood Neil
Trauma and Orthopaedics, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, GBR.
Trauma and Orthopaedics, Faculty of Medicine, Helwan University, Helwan, EGY.
Cureus. 2021 Jan 8;13(1):e12581. doi: 10.7759/cureus.12581.
Cervical facet dislocation is a serious injury that carries risks of short- and long-term morbidity. The optimal management of these injuries remains controversial with the ongoing debate regarding indications and requirements for closed reduction, timing, type of surgical approach and method of fixation. This review gives an update on the relevant anatomy, classification systems for sub-axial cervical facet dislocation and an overview of the current concepts regarding their management, including surgical approaches and the choice of implants.
颈椎小关节脱位是一种严重损伤,存在短期和长期发病风险。这些损伤的最佳治疗方法仍存在争议,关于闭合复位的适应症和要求、时机、手术入路类型及固定方法的争论仍在继续。本文综述了相关解剖结构、下颈椎小关节脱位的分类系统,并概述了目前关于其治疗的概念,包括手术入路和植入物的选择。